| Massive Subcutaneous Emphysema and Hypercarbia during Endoscopic Thyroidectomy: A case report. |
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Woo Kyoung Lee, Young Soon Choi, Young Keun Chae, Yong Ho Kim, Yoon Seok Chae, Jong Hoon Lee, Hyun Min Lee |
1Departments of Anesthesiology and Pain Medicine, Kwandong University College of Medicine, Goyang, Korea. pixie2002@freechal.com
2Departments of Surgery, Kwandong University College of Medicine, Goyang, Korea. |
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| Abstract |
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Endoscopic thyroidectomy is being performed increasingly, because it is less invasive and more cosmetically advantageous, and thus improves the postoperative quality of life. However, the technical aspects of this procedure can increase the risk of certain complications, which include subcutaneous emphysema, hypercarbia, pneumothorax, and pneumomediastinum. This report describes the case of a 37-year-old female patient who had subcutaneous emphysema and hypercarbia due to increased carbon dioxide absorption during endoscopic thyroidectomy. After increasing minute ventilation, paying cautious attention to signs of other complications, the operation proceeded and blood gas findings improved. The operation ended successfully and she showed no further problems. |
| Key Words:
endoscopic thyroidectomy; hypercarbia; subcutaneous emphysema |
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